摘要
目的探讨1，2伸肌室间支持带上动脉（1,2 intracompartmental supraretinacular artery 1,2 ICSRA）的解剖特点及治疗舟骨骨折不愈合的临床疗效。方法2008年7月-2010年9月共收治确诊的舟骨骨折不愈合患者11例，均采用逆行的1，2ICSRA为蒂骨瓣植入术结合Herbert螺钉内固定进行治疗，观察患者的骨折愈合情况及并发症，并以DASH评分对腕关节功能进行评价。结果所有患者均获6～33个月随访，平均17个月。11例患者均获骨性愈合，骨折愈合时间为9～14周。平均12周。术后6个月DASH评分平均为6．5分，腕关节功能接近正常。结论慎重的选择适应证，熟悉相关解剖知识，仔细的手术操作，采用逆行的1，2ICSRA为蒂骨瓣植入术结合Herbeft螺钉内固定治疗舟骨骨折不愈合可取得满意的临床疗效。
Objective To evaluate the anatomic characteristics of 1,2 intracompartmental supraretinacular artery（1,2 ICSKA）, and report the clinical results of the 1,2 ICSRA vascularized pedicled bone grafts in the treatment of scaphoid nonunion. Methods From July 2008 to September 2010, 11 patients with scaphoid nonunions were treated by grafting the pedicled vascular bone and with Herbert screw fixation in our center. We evaluated the fracture union and complications, and assessed functional rehabilitation of the wrist joint according to DASH score. Results The patients were followed-up for 6-33 months, averged 17 months. X-ray identified frcature union in all cases, and the average union time was 12 weeks （ranging 9- 14 weeks）. Averaged DASH scores was 6.5, the function of wrist approached to normal level. Conclusion Application of 1,2 ICSRA pedicled bone grafts to treat the scaphoid nonunion can obtain satisfactory results, For prudent selecting indications, famihar with pertinent anatomy and careful sugery.
出处
《实用手外科杂志》
2012年第2期123-126,共4页
Journal of Practical Hand Surgery
